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本文分析1980.1～1984.12月天津市四所医院2014例无并发症过期妊娠和263例并发轻度或中度妊高症过期妊娠的临床资料。同期分娩总数和总过期妊娠数分别为76,520例及2,918例。过期妊娠发生率为3.81%。有并发症组难产率(66.17%)高于无并发症组(48.9%)且有统计学意义(P<0.015)。前组剖腹产率48.2%高于后者(35.15%),有统计学意义(P<0.005)。两组剖腹产的主要指征为胎儿宫内窘迫。并发症组718例(44.9%)有羊水粪染。并发症组围产儿死亡6例(2.28%),无并发症组死亡24例(1.19%),但无统计学意义(P>0.05)。文章就过期妊娠对母婴影响及其处理原则进行了讨论。
This article analyzes the clinical data of 2014 non-complication pregnancy and 263 pregnant women with mild or moderate pregnancy-induced pregnancy in 2014 from January to December 1984 in Tianjin. The total number of deliveries and total number of pregnancies over the same period were 76,520 and 2,918, respectively. The incidence of overdue pregnancy was 3.81%. The rate of complications in the complication group (66.17%) was higher than that in the non-complication group (48.9%) (P <0.015). The former group of caesarean section rate was 48.2% higher than the latter (35.15%), with statistical significance (P <0.005). The main indications for both caesarean sections were fetal distress. 718 cases (44.9%) with complications of amniotic fluid meconium staining. Complications of perinatal deaths in 6 cases (2.28%), complications without complications in 24 cases (1.19%), but no statistically significant (P> 0.05). The article discusses the effects of overdue pregnancies on maternal and infant and its treatment principles.